| NPI | 1548634918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 1035578) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT81618) |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2015-11-21 |